- Immunodeficiency
Infobox_Disease
Name = Immunodeficiency
Caption =
DiseasesDB = 21506
ICD10 = ICD10|D|84|9|d|80
ICD9 = ICD9|279.3
ICDO =
OMIM =
MedlinePlus =
eMedicineSubj =
eMedicineTopic =
MeshID = D007153
Inmedicine , immunodeficiency (or immune deficiency) is a state in which theimmune system 's ability to fightinfectious disease is compromised or entirely absent. Most cases of immunodeficiency are acquired ("secondary") but some people are born with defects in the immune system, orprimary immunodeficiency . Transplant patients take medications to suppress their immune system as an anti-rejection measure, as do some patients suffering from an over-active immune system. A person who has an immunodeficiency of any kind is said to be immunocompromised. An immunocompromised person may be particularly vulnerable toopportunistic infection s, in addition to normal infections that could affect everyone.Types
Primary immunodeficiency
A number of
rare disease s feature a heightened susceptibility toinfection s from childhood onward. Many of these disorders are hereditary and areautosomal recessive or X-linked. There are over 80 recognised primary immunodeficiency syndromes; they are generally grouped by the part of the immune system that is malfunctioning, such aslymphocyte s orgranulocyte s. [cite journal |author=Rosen FS, Cooper MD, Wedgwood RJ |title=The primary immunodeficiencies |journal=N. Engl. J. Med. |volume=333 |issue=7 |pages=431–40 |year=1995 |pmid=7616993|doi=10.1056/NEJM199508173330707]The treatment of primary immunodeficiencies depends on the nature of the defect, and may involve antibody infusions, long-term antibiotics and (in certain cases) stem cell transplantation.
Acquired immunodeficiency
Immune deficiency may also be the result of particular external processes or diseases; the resultant state is called "secondary" or "acquired" immunodeficiency. Common causes for secondary immunodeficiency are
malnutrition ,aging and particular medications (e.g.chemotherapy ,disease-modifying antirheumatic drug s,immunosuppressive drug s afterorgan transplant s,glucocorticoid s).Many specific diseases directly or indirectly impair the immune system. This includes many types of
cancer , particularly those of the bone marrow and blood cells (leukemia ,lymphoma ,multiple myeloma ), and certain chronic infections. Immunodeficiency is also the hallmark of acquired immunodeficiency syndrome (AIDS), caused by the human immunodeficiency virus (HIV). HIV directly attacks the immune system.References
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